Organization

Walgreen Co

May also be knows as Walgreens Specialty Pharmacy #21266

Pharmacy in Mobile, AL(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens Specialty Pharmacy #21266

NPI Number

1104470921

NPI Type

Organization

Enumeration Date

07/30/2019

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
6395 AIRPORT BLVD STE A

City

Danville
Mobile

State

IL
AL

Postal Code

61834-4509
36608-3131

Country

US
US

Telephone Number

(847) 527-2489
(251) 288-6077

Authorized Official

Name

Jennifer Ponce

Title or Position

MANAGER

Telephone Number

(847) 527-2489

Identifiers

Identifier

0144143
242870

Identifier State

AL
AL

Identifier Issuer

NCPDP
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/02/2024

Provider Address

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